Medical school: UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Graduated: 2019
NPI: 1508428558
Practice Locations (3)
FAIRVIEW CLINICS
1440 DUCKWOOD DR
EAGAN, MN 551221451
6514068860
FAIRVIEW CLINICS
6545 FRANCE AVE S, SUITE 150
EDINA, MN 554352180
9528485600
HEALTHEAST MEDICAL RESEARCH INSTITUTE
2945 HAZELWOOD ST, SUITE 100
MAPLEWOOD, MN 551091242
6512327800
Source: CMS National Downloadable File, September 2026.